Organization
ORCHARD HOSPITAL
Active
Other names
Orchard Hospital D/P SNF
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN STARK (CEO)
(530) 846-9001
Entity
Organization
Contact information
Practice address
240 SPRUCE ST, GRIDLEY, CA 95948-2216
(530) 846-9000
(530) 846-9027
Mailing address
PO BOX 97, GRIDLEY, CA 95948-0097
(530) 846-9000
(530) 846-9027
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
230000007
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
555776
MEDICARE ID - TYPE UNSPECIFIED
CA
05
—
LTC90056F
—
CA
Enumeration date
01/04/2007
Last updated
12/01/2015
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